A patient with a long-standing history of asthma has failed to achieve adequate symptom control with first-line drugs. As a result, her care provider has prescribed theophylline
The nurse is aware of the narrow therapeutic range of this drug and has taught the patient to recognize the signs and symptoms of toxicity. These include which of the following? A) Polyuria and polyphagia
B) Confusion and decreased level of consciousness
C) Agitation and dysrhythmias
D) Chest pain and shortness of breath
C
Feedback:
Signs and symptoms of theophylline overdose include anorexia, nausea, vomiting, agitation, nervousness, insomnia, tachycardia and other dysrhythmias, and tonic–clonic convulsions. Ventricular dysrhythmias or convulsions may be the first sign of toxicity. Chest pain, shortness of breath, polyuria, polyphagia, and decreased level of consciousness do not accompany theophylline overdose.
You might also like to view...
A patient is started on levothyroxine (Synthroid) for treatment of hypothyroidism. During patient teaching, how frequently can the dosage be increased until symptoms are relieved?
A) Every 3 to 5 days B) Weekly C) Every 2 weeks D) Monthly
An older adult with suspected Parkinson's Disease has a "challenge test" performed in order to confirm the diagnosis. The nurse understands that a "challenge test" will demonstrate which of the following?
a. Immediate reversal of all symptoms of Parkinson's Disease after administration of levodopa b. Dramatic improvement of symptoms of Parkinson's Disease after administration of levodopa c. Dramatic improvement in gait only after administration of levodopa d. Dramatic improvement in tremor only af-ter administration of levodopa
You are an ICU nurse caring for a trauma patient. The patient is complaining of having trouble breathing with abdominal pain. An ABG reveals the following results: pH 7.28, PaCO2 50 mm Hg, HCO3- 23 mEq/L
What would you know is happening with this patient? A) Respiratory acidosis B) Metabolic alkalosis C) Respiratory alkalosis D) Mixed acid-base disorder
The nurse is caring for a female client who has a history of chronic fatigue syndrome. Which finding is the nurse surprised to see in the client's record?
a. Hemoglobin, 7.2 g/dL b. Serum creatinine, 0.9 mg/dL c. Multiple tender lymph nodes d. Newly red, swollen, warm knee